MR. JEFFREY S GRANDE (PA-C) – Physician Assistant, NPI 1912092842
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
Provider Addresses for MR. JEFFREY S GRANDE (PA-C)
818 Congress St
Portland, ME 041023112
Phone: (207) 773-8161
Fax: (207) 773-1489
Type: Location
2006 Health Campus Dr Ste 200
Rockingham, VA 228018679
Phone: (540) 689-5555
Type: Location
818, Congress Street, West End, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041023112
Phone: (207) 773-8161
Fax: (207) 773-1489
Type: Mailing
WakeMed Health & Hospitals: Raleigh Campus, 3000, New Bern Avenue, Raleigh, Wake County, North Carolina, 27610, United States
RALEIGH, NC 276101231
Phone: (919) 350-0554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-04-14 • Largest payer in this snapshot: LivaNova USA, Inc. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LivaNova USA, Inc. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130405000304 | I | Physician Assistant | NC | TBD |
| I20201112003389 | I | Physician Assistant | SD | TBD |
| I20220707000104 | I | Physician Assistant | VA | TBD |
| I20250919004253 | I | Physician Assistant | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 12 | 12 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 12 | 12 | $0 |
Insurance plans in this area (ZIP 04102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SD | |
| - | SD | |
| Vascular Surgery, Thoracic Surgery, Thoracic Surgery, Cardiac Surgery | SC | |
| - | SD | |
| - | SD | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | SD | |
| - | SD | |
| U R O L O G Y | KS |
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